Round 7 (MW) – Vomiting Blood

You are working at Clerkship General when the charge nurse grabs you – “hey we got a real sick one, a 57yo Male who I just put in the resuscitation bay, he is vomiting blood”.











Initial Vitals:BP: 77/34











HR: 135











RR: 24











O2%: 95%











Temp: 98.8F











Critical Actions:














* Place two large bore IVs











* Transfuse emergency uncross matched blood











* Administer IV Pantoprazole











* Administer IV Ceftriaxone and IV Octreotide











* Consult GI














Further Reading: EMDocs – GI Bleed